Hand-Assisted Laparoscopic Versus Open Colectomy: an Assessment from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) Procedure-Targeted Cohort

Abstract Background Perioperative outcomes of patients who underwent hand-assisted colorectal laparoscopic (HALS) versus open colectomy were compared using recently released procedure-targeted database. Methods Review was conducted using the 2012 colectomy-targeted ACS-NSQIP database. Patients were classified into two groups according to final surgical approach: HALS vs. Open (Planned). Groups were matched (1:1) based on age, gender, BMI, surgical procedure, diagnosis, ASA score, and wound classification. Multivariate logistic regression analysis was conducted for group comparison. Results Out of 7303 patients, 1740 patients were matched in each group. Open group had higher proportion of patients with preoperative dyspnea (p=0.01), ascites(p=0.01), weight loss(p